{"id":30314,"date":"2023-05-04T08:20:54","date_gmt":"2023-05-04T01:20:54","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30314"},"modified":"2023-05-04T08:20:54","modified_gmt":"2023-05-04T01:20:54","slug":"tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/","title":{"rendered":"Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp"},"content":{"rendered":"

C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c thay \u0111\u1ed5i v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng v\u00e0 nh\u00f3m thu\u1ed1c theo c\u00e1c giai \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh (theo c\u00e1c h\u01b0\u1edbng d\u1eabn n\u00eau c\u1ee5 th\u1ec3 t\u1eebng b\u1ec7nh). V\u00ec v\u1eady hi\u1ec3u c\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft. Ph\u1ea1m vi b\u00e0i n\u00e0y ch\u1ec9 n\u00eau hai b\u1ec7nh l\u00e0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/a> v\u00e0 vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp.<\/strong><\/p>\n

1. C\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/h2>\n

1.1 Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 giai \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p theo EULAR<\/h3>\n

C\u00f3 \u00edt nh\u1ea5t ba kh\u1edbp s\u01b0ng v\u00e0 \u00edt nh\u1ea5t m\u1ed9t ba ti\u00eau ch\u00ed sau:
\n\u2212 Ch\u1ec9 s\u1ed1 Ritchie t\u1eeb 9 \u0111i\u1ec3m tr\u1edf l\u00ean.
\n\u2212 C\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng \u00edt nh\u1ea5t 45 ph\u00fat.
\n\u2212 T\u1ed1c \u0111\u1ed9 m\u00e1u l\u1eafng gi\u1edd \u0111\u1ea7u 28mm.<\/p>\n

Ghi ch\u00fa: Ch\u1ec9 s\u1ed1 Ritchie: Ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 nh\u01b0 sau: Th\u1ea7y thu\u1ed1c d\u00f9ng \u0111\u1ea7u ng\u00f3n tay c\u00e1i c\u1ee7a m\u00ecnh \u1ea5n l\u00ean tr\u00ean di\u1ec7n kh\u1edbp c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi \u00e1p l\u1ef1c v\u1eeba ph\u1ea3i. T\u1ed5ng c\u1ed9ng c\u00f3 26 v\u1ecb tr\u00ed kh\u1edbp (c\u00e1c kh\u1edbp ng\u00f3n g\u1ea7n, kh\u1edbp b\u00e0n ng\u00f3n, kh\u1edbp c\u1ed5 tay, kh\u1edbp khu\u1ef7u, kh\u1edbp vai kh\u1edbp g\u1ed1i hai b\u00ean), m\u1ed7i v\u1ecb tr\u00ed kh\u1edbp \u0111\u01b0\u1ee3c t\u00ednh \u0111i\u1ec3m nh\u01b0 sau:
\n0 \u0111i\u1ec3m- Kh\u00f4ng \u0111au
\n1 \u0111i\u1ec3m- \u0110au \u00edt, b\u1ec7nh nh\u00e2n n\u00f3i l\u00e0 thao t\u00e1c g\u00e2y \u0111au.
\n2 \u0111i\u1ec3m- \u0110au v\u1eeba, b\u1ec7nh nh\u00e2n k\u00eau \u0111au v\u00e0 nh\u0103n m\u1eb7t.
\n3 \u0111i\u1ec3m – \u0110au nhi\u1ec1u, \u0111\u1ebfn n\u1ed7i b\u1ec7nh nh\u00e2n r\u00fat chi l\u1ea1i.<\/p>\n

K\u1ebft qu\u1ea3: \u0110au t\u1ed1i \u0111a l\u00e0 78 \u0111i\u1ec3m, ho\u00e0n to\u00e0n kh\u00f4ng \u0111au l\u00e0 0 \u0111i\u1ec3m, \u0111\u1ee3t ti\u1ebfn tri\u1ec3n c\u1ee7a
\nb\u1ec7nh t\u1eeb 9 \u0111i\u1ec3m tr\u1edf l\u00ean.<\/p>\n

1.2. \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh theo DAS 28<\/h3>\n

C\u00f4ng th\u1ee9c t\u00ednh nh\u01b0 sau:
\nDAS 28 = [0,56 (S\u1ed1 kh\u1edbp \u0111au) + 0,28 (S\u1ed1 kh\u1edbp s\u01b0ng)
\n+ 0,70 ln (m\u00e1u l\u1eafng 1gi\u1edd)] 1,08 + 0,16
\n– DAS 28 < 2,9: B\u1ec7nh kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng.
\n– 2,9 \u2264 DAS 28 < 3,2: Ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh m\u1ee9c \u0111\u1ed9 nh\u1eb9.
\n– 3,2 \u2264 DAS 28 \u2264 5,1: Ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh m\u1ee9c \u0111\u1ed9 trung b\u00ecnh.
\n– DAS 28 >5,1: B\u1ec7nh ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh.<\/p>\n

\"\"
28 kh\u1edbp c\u1ea7n kh\u1ea3o s\u00e1t khi \u0111\u00e1nh gi\u00e1 ch\u1ec9 s\u1ed1 DAS<\/figcaption><\/figure>\n

1.3. \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh theo c\u00e1c ch\u1ec9 s\u1ed1 kh\u00e1c<\/h3>\n

\u2212 Ch\u1ec9 s\u1ed1 SDAI (Simplified Disease Activity Index)
\nSDAI = S\u1ed1 kh\u1edbp \u0111au (t\u1ed5ng s\u1ed1 28 kh\u1edbp) + S\u1ed1 kh\u1edbp s\u01b0ng + VAS b\u1ec7nh nh\u00e2n + VAS
\nb\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 (0-10) + CRP (mg\/dl)
\nSDAI < 3,3: B\u1ec7nh kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng
\n3,3 < SDAI < 11: Ho\u1ea1t \u0111\u1ed9ng nh\u1eb9
\n11 < SDAI < 26: Ho\u1ea1t \u0111\u1ed9ng trung b\u00ecnh
\nSDAI > 26: Ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh<\/p>\n

\u2212 Ch\u1ec9 s\u1ed1 CDAI (Clinical Disease Activity Index)
\nCDAI = S\u1ed1 kh\u1edbp \u0111au + S\u1ed1 kh\u1edbp s\u01b0ng + VAS b\u1ec7nh nh\u00e2n + VAS b\u00e1c s\u0129.
\nCDAI < 2,8: B\u1ec7nh kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng
\n2,8 < CDAI < 10: B\u1ec7nh ho\u1ea1t \u0111\u1ed9ng nh\u1eb9
\n10 < CDAI < 22: B\u1ec7nh ho\u1ea1t \u0111\u1ed9ng trung b\u00ecnh
\nCDAI > 22: B\u1ec7nh ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh<\/p>\n

TI\u00caU CHU\u1ea8N LUI B\u1ec6NH ACR 2010<\/strong><\/em>
\n(ACR- American College of Rheumatology H\u1ed9i th\u1ea5p kh\u1edbp h\u1ecdc Hoa K\u1ef3)
\nKhi b\u1ec7nh nh\u00e2n vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c c\u00e1c y\u1ebfu t\u1ed1 sau trong 6 th\u00e1ng
\nli\u1ec1n, t\u1ee9c l\u00e0 \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c giai \u0111o\u1ea1n lui b\u1ec7nh:
\n\u2212 C\u1ee9ng kh\u1edbp s\u00e1ng \u2264 15 ph\u00fat.
\n\u2212 Kh\u00f4ng m\u1ec7t.
\n\u2212 Kh\u00f4ng \u0111au kh\u1edbp.
\n\u2212 Kh\u1edbp kh\u00f4ng \u0111au khi th\u0103m kh\u00e1m hay v\u1eadn \u0111\u1ed9ng.
\n\u2212 Kh\u00f4ng s\u01b0ng v\u00f9ng kh\u1edbp ho\u1eb7c g\u00e2n c\u01a1 c\u1ea1nh kh\u1edbp.
\n\u2212 T\u1ed1c \u0111\u1ed9 m\u00e1u l\u1eafng gi\u1edd \u0111\u1ea7u \u2264 30mm (\u0111\u1ed1i v\u1edbi n\u1eef) v\u00e0 \u2264 20mm (\u0111\u1ed1i v\u1edbi nam).<\/p>\n

2. Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n

2.1. CH\u1ec8 S\u1ed0 BASFI<\/h3>\n

(BATH ANKYLOSING SPONGDYLITIS FUNCTIONAL INDEX)
\nCh\u1ec9 s\u1ed1 BASFI \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng \u1edf b\u1ec7nh nh\u00e2n vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp c\u1ee5 th\u1ec3 nh\u01b0 sau:<\/p>\n

\u2212 B\u1ec7nh nh\u00e2n t\u1ef1 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a m\u00ecnh trong th\u1eddi gian m\u1ed9t tu\u1ea7n tr\u01b0\u1edbc th\u1eddi \u0111i\u1ec3m kh\u1ea3o s\u00e1t. M\u1ee9c \u0111\u1ed9 theo thang \u0111i\u1ec3m 10 v\u1edbi quy \u01b0\u1edbc 0 \u0111i\u1ec3m l\u00e0 ho\u1ea1t \u0111\u1ed9ng d\u1ec5 d\u00e0ng v\u00e0 10 \u0111i\u1ec3m l\u00e0 kh\u00f4ng th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c. Kh\u1ea3o s\u00e1t qua 10 ho\u1ea1t \u0111\u1ed9ng sau:
\n+ \u0110i t\u1ea5t (v\u1edb) (kh\u00f4ng c\u00f3 s\u1ef1 tr\u1ee3 gi\u00fap).
\n+ C\u00fai l\u01b0ng xu\u1ed1ng nh\u1eb7t m\u1ed9t c\u00e1i b\u00fat tr\u00ean s\u00e0n (kh\u00f4ng c\u00f3 s\u1ef1 tr\u1ee3 gi\u00fap).
\n+ V\u1edbi l\u00ean m\u1ed9t c\u00e1i gi\u00e1 cao (kh\u00f4ng c\u1ea7n s\u1ef1 tr\u1ee3 gi\u00fap).
\n+ \u0110\u1ee9ng d\u1eady t\u1eeb gh\u1ebf b\u00e0nh (kh\u00f4ng c\u1ea7n s\u1eed d\u1ee5ng tay ho\u1eb7c s\u1ef1 tr\u1ee3 gi\u00fap).
\n+ Ng\u1ed3i d\u1eady khi \u0111ang n\u1eb1m.
\n+ Th\u1ecfa m\u00e1i khi \u0111\u1ee9ng kh\u00f4ng c\u00f3 ch\u1ed7 t\u1ef1a trong 10 ph\u00fat.
\n+ Leo c\u1ea7u thang 12-15 b\u01b0\u1edbc (kh\u00f4ng s\u1eed d\u1ee5ng tay v\u1ecbn ho\u1eb7c s\u1ef1 tr\u1ee3 gi\u00fap kh\u00e1c).
\n+ Quay c\u1ed5 l\u1ea1i ph\u00eda sau m\u00e0 kh\u00f4ng ph\u1ea3i quay c\u1ea3 ng\u01b0\u1eddi.
\n+ Ho\u1ea1t \u0111\u1ed9ng th\u1ec3 d\u1ee5c.
\n+ 10) L\u00e0m vi\u1ec7c c\u1ea3 ng\u00e0y (\u1edf nh\u00e0 ho\u1eb7c n\u01a1i c\u00f4ng c\u1ed9ng).<\/p>\n

\u2212 T\u00ednh ch\u1ec9 s\u1ed1 BASFI theo c\u00e1c b\u01b0\u1edbc sau:
\nB\u01b0\u1edbc 1: t\u00ednh \u0111i\u1ec3m m\u1ed7i c\u00e2u.
\nB\u01b0\u1edbc 2: t\u00ednh thang \u0111i\u1ec3m BASFI b\u1eb1ng t\u1ed5ng \u0111i\u1ec3m 10 c\u00e2u chia cho 10.<\/p>\n

2.2. BASDAI<\/h3>\n

(BATH ANKYLOSING SPONGDYLITIS DISEASE ACTIVITY INDEX: CH\u1ec8 S\u1ed0 \u0110\u00c1NH GI\u00c1 M\u1ee8C \u0110\u1ed8 HO\u1ea0T \u0110\u1ed8NG C\u1ee6A B\u1ec6NH VI\u00caM C\u1ed8T S\u1ed0NG D\u00cdNH KH\u1edaP)<\/p>\n

\u2212 B\u1ec7nh nh\u00e2n t\u1ef1 \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u00ecnh trong m\u1ed9t tu\u1ea7n tr\u01b0\u1edbc th\u1eddi \u0111i\u1ec3m kh\u1ea3o s\u00e1t. M\u1ee9c \u0111\u1ed9 \u0111\u00e1nh gi\u00e1 theo thang \u0111i\u1ec3m 10 v\u1edbi quy \u01b0\u1edbc 0 \u0111i\u1ec3m l\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 10 \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng tr\u1ea7m tr\u1ecdng, qua 6 tri\u1ec7u ch\u1ee9ng sau.
\n+ M\u1ee9c \u0111\u1ed9 m\u1ec7t m\u1ecfi?
\n+ M\u1ee9c \u0111\u1ed9 \u0111au \u1edf c\u1ed5 l\u01b0ng v\u00e0 kh\u1edbp h\u00e1ng?
\n+ M\u1ee9c \u0111\u1ed9 s\u01b0ng c\u1ee7a c\u00e1c kh\u1edbp kh\u00e1c ngo\u00e0i v\u00f9ng c\u1ed5, l\u01b0ng v\u00e0 h\u00e1ng?
\n+ M\u1ee9c \u0111\u1ed9 kh\u00f3 ch\u1ecbu \u1edf nh\u1eefng v\u00f9ng nh\u1ea1y c\u1ea3m khi ch\u1ea1m ho\u1eb7c t\u1ef3 v\u00e0o?
\n+ M\u1ee9c \u0111\u1ed9 c\u1ee9ng kh\u1edbp v\u00e0o bu\u1ed5i s\u00e1ng (k\u1ec3 t\u1eeb l\u00fac th\u1ee9c d\u1eady)?
\n+ Th\u1eddi gian c\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng k\u1ec3 t\u1eeb khi th\u1ee9c d\u1eady?
\n(Quy \u01b0\u1edbc 30 ph\u00fat = 2 \u0111i\u1ec3m; 60 ph\u00fat = 4 \u0111i\u1ec3m; 90 ph\u00fat = 6 \u0111i\u1ec3m; 120 ph\u00fat = 8 \u0111i\u1ec3m; v\u00e0 tr\u00ean 120 ph\u00fat= 10 \u0111i\u1ec3m).<\/p>\n

\u2212 T\u00ednh ch\u1ec9 s\u1ed1 BASDAI theo c\u00e1c b\u01b0\u1edbc sau:
\nB\u01b0\u1edbc 1: T\u00ednh t\u1ed5ng 4 c\u00e2u tr\u1ea3 l\u1eddi \u0111\u1ea7u ti\u00ean, d\u1ef1a v\u00e0o thang \u0111i\u1ec3m nh\u00ecn \u0111\u00e1nh gi\u00e1.
\nB\u01b0\u1edbc 2: T\u00ednh trung b\u00ecnh c\u1ee7a c\u00e2u tr\u1ea3 l\u1eddi 5 v\u00e0 6.
\nB\u01b0\u1edbc 3: S\u1ed1 \u0111i\u1ec3m (t\u1ed5ng 4 c\u00e2u \u0111\u1ea7u ti\u00ean v\u00e0 trung b\u00ecnh c\u00e2u 5 v\u00e0 c\u00e2u 6) chia 5 s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 s\u1ed1 BASDAI.
\nB\u1ec7nh ho\u1ea1t \u0111\u1ed9ng khi ch\u1ec9 s\u1ed1 BASDAI \u2265 4<\/p>\n

3. CH\u1ec8 S\u1ed0 ASDAS<\/h3>\n

(Ankylosing Spondglitis Disease Activity Score)
\nASDAS = 0,121 x VAS c\u1ed9t s\u1ed1ng + 0,058 th\u1eddi gian c\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng + 0,110 x
\nVAS b\u1ec7nh nh\u00e2n + 0,073 s\u1ed1 kh\u1edbp \u0111au ho\u1eb7c s\u01b0ng ngo\u1ea1i vi + 0,579 ln (CRP + 1)
\nASDAS < 1,3: B\u1ec7nh kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng
\n1,3 < ASDAS < 2,1: B\u1ec7nh ho\u1ea1t \u0111\u1ed9ng m\u1ee9c \u0111\u1ed9 nh\u1eb9
\n2,1 < ASDAS < 3,5: B\u1ec7nh ho\u1ea1t \u0111\u1ed9ng trung b\u00ecnh
\nASDAS > 3,5: B\u1ec7nh ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh.<\/p>\n

3. K\u1ebft lu\u1eadn<\/h2>\n

B\u00e1c s\u0129 c\u1ea7n d\u1ef1a v\u00e0o c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh theo giai \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng, DAS28, SDAI, CDAI (\u0111\u1ed1i v\u1edbi b\u1ec7nh Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p), BASFI, BASDAI, ASDAS (\u0111\u1ed1i v\u1edbi b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp) \u0111\u1ec3 theo d\u00f5i v\u00e0 thay \u0111\u1ed5i c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c thay \u0111\u1ed5i v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng v\u00e0 nh\u00f3m thu\u1ed1c theo c\u00e1c giai \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh (theo c\u00e1c h\u01b0\u1edbng d\u1eabn n\u00eau c\u1ee5 th\u1ec3 t\u1eebng b\u1ec7nh). V\u00ec v\u1eady hi\u1ec3u c\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft. Ph\u1ea1m vi b\u00e0i n\u00e0y ch\u1ec9 n\u00eau […]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"\nTi\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng, b\u1edfi v\u00ec c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c thay \u0111\u1ed5i t\u00f9y theo t\u1eebng giai \u0111o\u1ea1n b\u1ec7nh.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp - Vinmec\" \/>\n<meta property=\"og:description\" content=\"C\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng, b\u1edfi v\u00ec c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c thay \u0111\u1ed5i t\u00f9y theo t\u1eebng giai \u0111o\u1ea1n b\u1ec7nh.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-04T01:20:54+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/danh-gia-vkdt.jpg\" \/>\n<meta name=\"author\" content=\"Phuong Ly Hai\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Phuong Ly Hai\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/\",\"name\":\"Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-04T01:20:54+00:00\",\"dateModified\":\"2023-05-04T01:20:54+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/680cd7f8c3dcc41bb0f1442f657fc8ad\"},\"description\":\"C\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng, b\u1edfi v\u00ec c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c thay \u0111\u1ed5i t\u00f9y theo t\u1eebng giai \u0111o\u1ea1n b\u1ec7nh.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/680cd7f8c3dcc41bb0f1442f657fc8ad\",\"name\":\"Phuong Ly Hai\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/02ba2cf767a7ce0f9b686c477d324d0a?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/02ba2cf767a7ce0f9b686c477d324d0a?s=96&d=mm&r=g\",\"caption\":\"Phuong Ly Hai\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/bs-lyhaiphuonggmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp - Vinmec","description":"C\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng, b\u1edfi v\u00ec c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c thay \u0111\u1ed5i t\u00f9y theo t\u1eebng giai \u0111o\u1ea1n b\u1ec7nh.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp - Vinmec","og_description":"C\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng, b\u1edfi v\u00ec c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c thay \u0111\u1ed5i t\u00f9y theo t\u1eebng giai \u0111o\u1ea1n b\u1ec7nh.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/","og_site_name":"Vinmec","article_published_time":"2023-05-04T01:20:54+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/danh-gia-vkdt.jpg"}],"author":"Phuong Ly Hai","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Phuong Ly Hai","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/","name":"Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-04T01:20:54+00:00","dateModified":"2023-05-04T01:20:54+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/680cd7f8c3dcc41bb0f1442f657fc8ad"},"description":"C\u00e1c ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng, b\u1edfi v\u00ec c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c thay \u0111\u1ed5i t\u00f9y theo t\u1eebng giai \u0111o\u1ea1n b\u1ec7nh.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tieu-chuan-danh-gia-muc-do-hoat-dong-benh-ly-khop\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh l\u00fd kh\u1edbp"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/680cd7f8c3dcc41bb0f1442f657fc8ad","name":"Phuong Ly Hai","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/02ba2cf767a7ce0f9b686c477d324d0a?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/02ba2cf767a7ce0f9b686c477d324d0a?s=96&d=mm&r=g","caption":"Phuong Ly Hai"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/bs-lyhaiphuonggmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/30314"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=30314"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/30314\/revisions"}],"predecessor-version":[{"id":31559,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/30314\/revisions\/31559"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=30314"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=30314"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=30314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}